SUSAN K LICHT (NPI# 1447227798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447227798 |
| Entity Type | Individual |
| Full Name | SUSAN K LICHT |
| Credential | P.A.C. |
| Practice Address |
172 Mount Pleasant Rd Newtown CT 06470-1443 |
| Practice Telephone | 2034268442 |
| Practice Fax Number | 2034266320 |
| Mailing Telephone | 2034268442 |
| Mailing Fax Number | 2034266320 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000032 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
172 MOUNT PLEASANT RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949399 | Andrew C Barlow | Physician Assistant | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2005-08-10 |
| 1972047116 | Newtown Family Dentistry, LLC | Dentist | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2016-12-07 |
| 1154787372 | Gift of Gab,llc | Speech-Language Pathologist | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2016-01-04 |
| 1083920946 | Jessica Ragusa | Speech-Language Pathologist | 172 Mount Pleasant Rd, Newtown, CT 06470 | 2010-08-29 |
| 1811186679 | Francis J Forno Jr Do, LLC | Family Medicine | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2007-10-17 |
| 1528286895 | Peter Licht M.d.& Jennifer Holloway | Internal Medicine | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2007-04-23 |
| 1902987621 | Andrea Jean Kaufmann | Physician Assistant | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2006-10-18 |
| 1023113818 | Deidre Marie Condon | Dentist | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2006-09-14 |
| 1124123559 | Garrett Bernard Golisano | Dentist | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2006-09-13 |
| 1316974199 | Francis J Forno Jr. | Family Medicine | 172 Mount Pleasant Rd, Newtown, CT 06470-1443 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242889 | Sharon Margaret Smith | Health Educator | 33 Church Hill Rd., Newtown, CT 06470 | 2019-12-11 |
| 1053825091 | Athena Newtown Ct LLC | Skilled Nursing Facility | 139 Toddy Road, Newtown, CT 06470 | 2017-11-29 |
| 1104379874 | Stephanie Andrews | Physical Therapist | 3 Simm Ln, Newtown, CT 06470 | 2016-07-29 |
| 1215276928 | Family Health Care Physicians, Inc. | Family Medicine | 33 Chuch Hill Rd, Newtown, CT 06470 | 2013-02-01 |
| 1538439690 | Mark Pirner | Internal Medicine | 1 Stony Brook Rd, Newtown, CT 06470 | 2012-01-06 |
| 1750614699 | Kelly Mcglynn Ferjentsik | Optometrist | 14 Church Hill Road, Suite C 10, Newtown, CT 06470 | 2009-09-10 |
| 1902066921 | Kevin F Braun | Dentist | 56 Church Hill Road, Newtown, CT 06470 | 2008-06-12 |
| 1477737484 | John Hendrian Whitbeck | Physician Assistant | 172 Mt Pleasant Road, Newtown Professional Center, Newtwon, CT 06470 | 2007-12-27 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1760603831 | Andrea Leigh Schear | Social Worker | Sontasha Yoga 27 Hawleyville Rd., Newtown, CT 06470 | 2007-05-02 |
| Find all providers in zip 06470 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477934412 | Melissa Breiner | Physician Assistant | 2189 Second Street Pike, Newtown, PA 18940-4134 | 2015-06-16 |
| 1013195551 | Susan Olsen | Physician Assistant | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 | 2008-02-07 |
| 1154318251 | Emilie Koepke Gibbs | Physician Assistant | 10 Queen St, Newtown, CT 06470-2156 | 2005-10-04 |
| 1295264075 | Elliot Zirkin Edwards | Physician Assistant | 2189 Second Street Pike, Newtown, PA 18940-4134 | 2017-06-06 |
| 1538540257 | Carmela Luzi | Physician Assistant | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | 2015-06-18 |
| 1013238559 | Umu Kultumi Bah | Physician Assistant | 170 Mount Pleasant Rd, Newtown, CT 06470 | 2010-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.